Individual
MRS. SAMANTHA RAE ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, APRN
Contact information
Practice address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5722
Mailing address
4215 JOE RAMSEY BLVD E, GREENVILLE, TX 75401-7852
(903) 408-5722
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP144891
TX
Other
Enumeration date
01/31/2020
Last updated
09/03/2024
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